Arthroscopic Total Internal Suture Combined With Platelet-rich Plasma for the Treatment of Lateral Meniscal Popliteal Hiatus Area Injuries
10.3969/j.issn.1009-6604.2025.08.008
- VernacularTitle:关节镜下全内缝合联合富血小板血浆治疗外侧半月板腘肌腱裂孔区损伤
- Author:
Pengfei ZHANG
1
;
Yutong WANG
1
;
Huiwen ZHOU
1
;
Ziheng ZHANG
1
;
Zihao HU
1
;
Yansong QI
1
;
Yongsheng XU
1
Author Information
1. 内蒙古自治区人民医院骨科中心,呼和浩特 010017
- Publication Type:Journal Article
- Keywords:
Popliteal hiatus area injuries;
Meniscus total internal suture;
Platelet-rich plasma;
Knee joint function
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(8):489-494
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the short-term efficacy of arthroscopic total internal suture combined with platelet-rich plasma(PRP)in the treatment of lateral meniscal popliteal hiatus area injuries.Methods Forty-eight patients diagnosed with lateral meniscal popliteal hiatus area injuries in our hospital from January 2020 to December 2022 were selected and divided into Fast-Fix total internal suture group(FF group,n=23)and Fast-Fix total internal suture combined with PRP group(PRP group,n=25)according to treatment methods.The positive rate of McMurray test at 6 and 12 months after surgery,the preoperative and postoperative visual analogue scale(VAS)of pain,the International Knee Documentation Committee(IKDC)scores,the Lysholm Knee Function Scores,and the Knee Society Scores(KSS)were compared between the two groups.Results No adverse events such as vascular and nerve injury,fever and infection occurred in both groups.There was no significant difference between the two groups in the positive rates of McMurray test at 6 and 12 months(χ2=0.880,P=0.348;Fisher's exact test,P=0.479).In the PRP group,25 cases were followed up for11-14 months,with an average of(12.2±0.8)months;in the FF group,23 cases were followed up for11-14 months,with an average of(12.8±0.8)months.The VAS scores at 6 months and 12 months after surgery were significantly lower than those before surgery in both groups(all P=0.000).The VAS scores of the PRP group at 6 and 12 months after surgery were significantly lower than those of the FF group(P<0.05).Both groups showed significant improvements in IKDC,Lysholm,and KSS scores at 6 and 12 months after surgery compared to preoperative levels(all P=0.000).The IKDC,Lysholm,and KSS scores of the PRP group at 6 and 12 months after surgery were significantly higher than those of the FF group(P<0.05).Conclusion Compared to Fast-Fix total internal suture alone,PRP joint cavity adjuvant therapy based on Fast-Fix total internal suture surgery could reduce the postoperative pain of patients,and promote the functional recovery of the knee joint,which is more recommended in clinical practice.
